Pneumomediastinum and Bilateral Pneumothoraces Causing Respiratory Failure after Thyroid Surgery
We report the first case of severe respiratory failure after thyroid surgery requiring venovenous extracorporeal membrane oxygenation (vvECMO). The patient was a 41-year-old woman with metastatic thyroid cancer. She underwent thyroidectomy, including left lateral and bilateral central neck dissectio...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2017/8206970 |
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| author | Michael Koeppen Benjamin Scott Joseph Morabito Matthew Fiegel Tobias Eckle |
| author_facet | Michael Koeppen Benjamin Scott Joseph Morabito Matthew Fiegel Tobias Eckle |
| author_sort | Michael Koeppen |
| collection | DOAJ |
| description | We report the first case of severe respiratory failure after thyroid surgery requiring venovenous extracorporeal membrane oxygenation (vvECMO). The patient was a 41-year-old woman with metastatic thyroid cancer. She underwent thyroidectomy, including left lateral and bilateral central neck dissection. During surgery, the patient developed pneumomediastinum with bilateral pneumothoraces. Despite early treatment with bilateral chest tubes and no evidence of a tracheal perforation, the patient developed severe respiratory failure after extubation on the intensive care unit. Because pneumothorax and pneumomediastinum might be more common than reported, and considering increasing cases of thyroid surgery, staff should remain vigilant of pulmonary complications after thyroid surgery. |
| format | Article |
| id | doaj-art-7ee0cb176d7844e4b0736b35c492b769 |
| institution | Kabale University |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-7ee0cb176d7844e4b0736b35c492b7692025-02-03T01:26:20ZengWileyCase Reports in Anesthesiology2090-63822090-63902017-01-01201710.1155/2017/82069708206970Pneumomediastinum and Bilateral Pneumothoraces Causing Respiratory Failure after Thyroid SurgeryMichael Koeppen0Benjamin Scott1Joseph Morabito2Matthew Fiegel3Tobias Eckle4Anesthesiology, Ludwig Maximilian University of Munich, Munich, GermanyAnesthesiology, University of Denver School of Medicine, Aurora, CO, USAAnesthesiology, University of Denver School of Medicine, Aurora, CO, USAAnesthesiology, University of Denver School of Medicine, Aurora, CO, USAAnesthesiology, University of Denver School of Medicine, Aurora, CO, USAWe report the first case of severe respiratory failure after thyroid surgery requiring venovenous extracorporeal membrane oxygenation (vvECMO). The patient was a 41-year-old woman with metastatic thyroid cancer. She underwent thyroidectomy, including left lateral and bilateral central neck dissection. During surgery, the patient developed pneumomediastinum with bilateral pneumothoraces. Despite early treatment with bilateral chest tubes and no evidence of a tracheal perforation, the patient developed severe respiratory failure after extubation on the intensive care unit. Because pneumothorax and pneumomediastinum might be more common than reported, and considering increasing cases of thyroid surgery, staff should remain vigilant of pulmonary complications after thyroid surgery.http://dx.doi.org/10.1155/2017/8206970 |
| spellingShingle | Michael Koeppen Benjamin Scott Joseph Morabito Matthew Fiegel Tobias Eckle Pneumomediastinum and Bilateral Pneumothoraces Causing Respiratory Failure after Thyroid Surgery Case Reports in Anesthesiology |
| title | Pneumomediastinum and Bilateral Pneumothoraces Causing Respiratory Failure after Thyroid Surgery |
| title_full | Pneumomediastinum and Bilateral Pneumothoraces Causing Respiratory Failure after Thyroid Surgery |
| title_fullStr | Pneumomediastinum and Bilateral Pneumothoraces Causing Respiratory Failure after Thyroid Surgery |
| title_full_unstemmed | Pneumomediastinum and Bilateral Pneumothoraces Causing Respiratory Failure after Thyroid Surgery |
| title_short | Pneumomediastinum and Bilateral Pneumothoraces Causing Respiratory Failure after Thyroid Surgery |
| title_sort | pneumomediastinum and bilateral pneumothoraces causing respiratory failure after thyroid surgery |
| url | http://dx.doi.org/10.1155/2017/8206970 |
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